CLIA lab
CLIA 05D2030513: Federal Correctional Institution (Fci), Mendota
Mendota, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2030513 belongs to Federal Correctional Institution (Fci), Mendota in Mendota, CA.
Certificate of Waiver, effective October 26, 2024, expires October 25, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 26, 2024
- Certificate expiration
- October 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2011
- Facility type
- Prison
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2030513
- Lab name
- Federal Correctional Institution (Fci), Mendota
- Address
- 33500 W. California Avenue, Fci Mendota Health Service Unit, Mendota, CA 93640
- Phone
- (559) 274-4000
- Fax
- (559) 274-4283
Annual test volume the lab reported
- Waived tests
- 1,480
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mendota, CA
- Arya Medical Group CorpCertificate of Waiver, Rural health clinic05D2295003
- Mendota Family Health ClinicCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D0958895
- United Health Centers of the San Joaquin Valley-Certificate of Waiver, Federally qualified health center05D0665802
Related
Questions
What is the CLIA number for Federal Correctional Institution (Fci), Mendota in Mendota?
05D2030513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Federal Correctional Institution (Fci), Mendota hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2030513 expire?
The CMS file lists October 25, 2026 as the certificate expiration date; the certificate took effect October 26, 2024.